Individual
TABITHA MICHELLE FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
705 PINE CONE PL, HOLMEN, WI 54636-7915
(702) 286-7035
Mailing address
705 PINE CONE PL, HOLMEN, WI 54636-7915
(702) 286-7035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11542
WI
1041C0700X
Clinical Social Worker
Primary
31762
MN
Other
Enumeration date
03/09/2015
Last updated
09/15/2024
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